NPIMap

Individual provider Active NPI

Amita Sadashiv Shetty, M.D.

  • Sleep Medicine (Internal Medicine) Physician
  • Fayetteville, NC
National Provider Identifier
1548267958
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
License
9700753 Issued in NC
Practice address
3308 Melrose Rd
Fayetteville, NC 28304-1604
Phone
(910) 615-3200
Fax
(910) 615-3201
NPI assigned
Jun 30, 2005
Last updated
Aug 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 009700753 NC
Sleep Medicine (Internal Medicine) Physician 207RS0012X 9700753 NC Primary

Addresses

Primary practice location

3308 Melrose Rd
Fayetteville, NC 28304-1604

Mailing address

1638 Owen Dr
Attn: Managed Care Planning
Fayetteville, NC 28304-3424
Phone (910) 615-6949

Other practice location 1

1565 Purdue Dr Ste 101A
Fayetteville, NC 28303-5537
Phone (910) 615-6949

Other practice location 2

300 Medical Pavilion Dr Ste 170
Raeford, NC 28376-0019
Phone (910) 615-6949

Other identifiers 2

IdentifierTypeStateIssuer
891173EMedicaidNC
1173EOtherNCBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040517000155 NC Practitioner - Internal MedicinePractitioner - Sleep Medicine 4284624750 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Sleep Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

300 Medical Pavilion Dr
Suite 170
Raeford, NC 28376-0019
Phone (910) 904-8200

3308 Melrose Rd
Fayetteville, NC 28304-1604
Phone (910) 615-3200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
009700753NCMDInternal Medicine Physician
9700753NCMDSleep Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cape Fear Valley Health Medical Group LLC CurrentSince Oct 28, 2024 Accepting new patients
Cape Fear Valley Health Medical Group LLC Current Accepting new patients
Cape Fear Valley Health Medical Group LLC CurrentSince Oct 28, 2024 Accepting new patients
Cape Fear Valley Health System Specialty Group, LLC CurrentSince Dec 20, 2017 Accepting new patients
Cumberland County Hospital System Inc CurrentSince Aug 10, 2006 Accepting new patients
Cape Fear Valley Health System Specialty Group, LLC Current Accepting new patients
Cumberland County Hospital System Inc Current Accepting new patients
Cumberland County Hospital System Inc CurrentSince Aug 10, 2006 Accepting new patients
Cape Fear Valley Health Medical Group LLC Past Accepting new patients

Locations

107 E Dunham St
Elizabethtown, NC 28337
Phone (910) 615-3200

1565 Purdue Dr
Ste 101A
Fayetteville, NC 28303
Phone (910) 484-8492

1638 Owen Dr
Fayetteville, NC 28304
Phone (910) 609-5610

3308 Melrose Rd
Fayetteville, NC 28304
Phone (910) 484-3114

4140 Ferncreek Dr
Ste 801
Fayetteville, NC 28314
Phone (910) 484-2171

300 Medical Pavilion Dr
Ste 170
Raeford, NC 28376
Phone (910) 904-8200

Interoperability endpoints

  • Direct secure messaging: ashetty10112@capefearvalley.direct-ci.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1548267958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1638 OWEN DR",
            "address_2": "ATTN: MANAGED CARE PLANNING",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043424",
            "telephone_number": "910-615-6949",
            "fax_number": "910-615-9761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3308 MELROSE RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283041604",
            "telephone_number": "910-615-3200",
            "fax_number": "910-615-3201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1565 Purdue Dr Ste 101A",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283035537",
            "country_code": "US",
            "telephone_number": "910-615-6949",
            "fax_number": "910-615-9761",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Medical Pavilion Dr Ste 170",
            "address_purpose": "LOCATION",
            "city": "Raeford",
            "state": "NC",
            "postal_code": "283760019",
            "country_code": "US",
            "telephone_number": "910-615-6949",
            "fax_number": "910-615-9761",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHETTY",
        "first_name": "AMITA",
        "middle_name": "SADASHIV",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-30",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "009700753",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "NC",
            "license": "9700753",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891173E",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1173E",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.